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Star Medi Classic Individual Insurance Policy

What is the Plan all About?

To safeguard your health it is important to take good care of your health. But to tackle with the unforeseen health hazards it is imperative to have a health insurance policy. Star Health presents Medi-Classic Insurance policy which offers multiple benefits under one plan.

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Key Features

  • Automatic Restoration of sum insured by 200%
  • Quick & Direct in-house claim settlement
  • 7800 plus Network hospitals for cashless treatment
  • No Pre- Acceptance medical test upto 50 years
  • 5% discount on premium for availing 2 year policy term

Policy Benefits

  • The plan covers in-patient hospitalization expenses like room andboarding charges, Surgeon, Anaesthetist, Medical Practitioner, Consultants, Specialist Fees,Cost of Medicines and Drugs for minimum stay of 24 hours.
  • Pre hospitalization expenses are covered 30 days prior to being admitted in the hospital.
  • Post hospitalization expenses are paid as a lumpsum upto the specified limit in the policy.
  • 101 Day care procedures which require hospitalization for less than 24 hours are covered.
  • Non Allopathic treatments covered as per the specified limits in the policy.

Value Added Benefits

  • Ambulance service charges are covered for emergency transportation to and from the hospital are covered as per the specified limits.
  • Cost of Health Check-up once after a block of every four claim-free years.It is available for SI more than 2 lacs only.
  • Automatic restoration of sum insured upto 200% for the remaining policy term in case the base sum insured is exhausted.
  • No claim bonus offered is5% of the basic sum insured for every claim-free year subject to a maximum of 25% is allowable. No claim Bonus is not available for the family package plan.
  • This policy can be taken by HIV positive persons provided the CD 4 count at the time of entry is above 350 (proof to be produced).
  • Add on covers like Patient Care and Hospital cash are available. Optional Benefit of New Born Baby cover available under the family package Plan. 
  • Lifelong Renewability.
  • Tax benefits can be availed under section 80D of Income Tax Act, 1961.
  • Facility for keeping personal health records in electronic format.

Sub Limits

  • A co-payment of 10% of the admissible claim amount of the insured persons whose age at the time of entry is above 60 years.
  • Room, boarding,nursing expenses are capped at 2% of the sum insured subject to Rs 5,000 per day.
  • Emergency Hospitalization expenses are limited to Rs 750 per hospitalization and Rs 1,500 per policy period.
  • Non Allopathic treatments covered upto 25% of the SI subject to Rs 25,000er policy period.
  • Post Hospitalization expenses are paid upto 7% of the hospitalization expenses(excluding room rent) subject to maximum of Rs 5,000.
  • Expenses for the medical health check up are reimbursed upto 1% of the average SI after the block of 4 claim free years to a maximum of Rs 5,000.

Waiting Period Clause

  • Initial waiting period: An initial waiting period of 30 days from the commencement of the policy is to be followed for any hospitalization except for the accident claims.
  • Specific Waiting Period: Specific waiting period of 2 years is applicable for the list of specified treatments/surgeries under the policy contract.
  • Pre-existing waiting period: 48 months waiting period is applicable for covering pre-existing diseases.

Who can Buy the Plan?

Factor Minimum Maximum
Age (as on last birthday) Adult: 18 Years, Children: 5 Months Adult: 65 Years
Sum Assured 1.5 Lacs 15 Lacs
Cover Type Individual/Family Floater -
Policy Tenure 1 Year 2 Year
Grace Period 30 Days -
Free Look Period 15 Days -
Riders Patient Care And Hospital Cash & New Born Cover For Family Package Policy -

Exclusions

  • Self Inflicted injury
  • Convalescence benefit
  • Expenses incurred for Lasik laser
  • Cosmetic & Aesthetic Surgeries, etc.
  • Maternity benefits
  • Cost of spectacles and contact lenses, etc.
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